UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $92.80 | $128.00 | $14.54 – $35.33 | 8 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $698.78 – $993.28 | 2 |
| Apply forearm splintdynamic 29126 CPT 29126 | $569.60 | $785.00 | $28.60 – $90.06 | 8 |
| Apply of finger splint 29131 CPT 29131 | $664.80 | $917.00 | $30.48 – $90.26 | 8 |
| Apply short leg castambul type 29425 CPT 29425 | $100.00 | $163.00 | $57.75 – $993.28 | 8 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $4.20 | $7.00 | $1.64 – $1.81 | 6 |
| #aptt mix-1:1 incubated CPT 87532 | $252.00 | $420.00 | $27.39 – $34.68 | 2 |
| Aquaporin-4 antibody cba each CPT 86052 | $160.00 | $221.00 | $9.64 – $16.43 | 8 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $166.40 | $229.00 | $10.56 – $48.77 | 8 |
| Aquatic exercise - group charge CPT 97150 | $112.80 | $155.00 | $9.06 – $35.92 | 2 |
| Arformoterol non-comp unit HCPCS J7605 | $100.00 | $125.00 | $0.71 – $0.78 | 5 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $3,121.80 | $5,203.00 | $0.80 – $0.88 | 6 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,852.80 | $3,931.00 | $105.60 – $641.23 | 2 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $2,350.40 | $3,239.00 | $101.17 – $553.07 | 2 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $692.00 | $953.00 | $10.05 – $45.40 | 2 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,751.00 | $4,585.00 | $8.15 – $8.97 | 6 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,421.60 | $1,959.00 | $52.34 – $993.28 | 8 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,092.00 | $4,261.00 | $28.80 – $1,196.45 | 8 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $2,958.40 | $4,077.00 | $28.80 – $1,218.28 | 8 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $825.60 | $1,376.00 | $23.65 – $1,400.32 | 8 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,140.80 | $1,572.00 | $46.59 – $993.28 | 8 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,444.80 | $1,991.00 | $54.80 – $993.28 | 8 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $825.60 | $1,376.00 | $19.80 – $993.28 | 8 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $1,115.20 | $1,537.00 | $40.76 – $993.28 | 8 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $484.00 – $1,929.94 | 8 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $695.68 – $2,139.16 | 2 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $4,760.80 | $6,561.00 | $169.77 – $993.28 | 8 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $228.00 | $380.00 | $42.76 – $993.28 | 8 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,076.40 | $1,794.00 | $747.60 – $993.28 | 2 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,175.20 | $1,619.00 | $65.76 – $993.28 | 8 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $1,175.20 | $1,865.00 | $40.49 – $150.90 | 8 |
| Assay dir meas fr estradiol CPT 82681 | $124.80 | $172.00 | $21.81 – $27.61 | 2 |
| Assay neurflmnt light chain CPT 83884 | $1,585.20 | $2,642.00 | $81.90 – $409.50 | 12 |
| Assay of fluoride CPT 82735 | $275.20 | $379.00 | $8.00 – $18.33 | 8 |
| Assay of glutathione CPT 82978 | $93.60 | $129.00 | $6.75 – $15.27 | 8 |
| Assay of lrh hormone CPT 83727 | $299.20 | $413.00 | $16.98 – $40.49 | 8 |
| Assay of procainamide w/metab CPT 80192 | $340.00 | $468.00 | $16.55 – $33.23 | 8 |
| Assay of prostaglandin CPT 84150 | $964.00 | $1,328.00 | $11.00 – $41.28 | 8 |
| Assay of sialic acid CPT 84275 | $188.40 | $314.00 | $13.29 – $23.86 | 8 |
| Assay of somatostatin CPT 84307 | $284.00 | $392.00 | $18.07 – $39.84 | 8 |
| Assay of thiocyanate CPT 84430 | $273.60 | $377.00 | $4.80 – $11.49 | 8 |
| Assay of urine sulfate CPT 84392 | $63.20 | $87.00 | $4.29 – $5.43 | 2 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $587.20 | $810.00 | $38.40 – $142.36 | 8 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $47.60 | $65.00 | $4.22 – $8.13 | 8 |
| Ast/sgot CPT 84450 | $47.80 | $66.00 | $5.12 – $12.15 | 8 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $40,521.60 | $67,536.00 | $91.34 – $100.47 | 6 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $63.60 | $106.00 | $0.10 – $0.11 | 5 |
| Augment injectable kit 3.0cc HCPCS C1734 | $9,247.20 | $12,744.00 | $2,080.62 – $10,403.10 | 13 |
| Autologous blood op salvage CPT 86891 | $268.80 | $371.00 | $606.30 – $606.30 | 1 |
| Autologous blood process CPT 86890 | $821.60 | $1,132.00 | $122.78 – $122.78 | 1 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $172.80 | $288.00 | $100.09 – $110.10 | 6 |
| Avul nail plate addl CPT 11732 | $31.20 | $52.00 | $28.32 – $58.03 | 8 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $471.00 | $785.00 | $28.32 – $993.28 | 8 |
| Azacitidine injection HCPCS J9025 | $2,860.20 | $4,767.00 | $0.57 – $0.62 | 5 |
| Azathioprine 50 mg tablet HCPCS J7500 | $14.40 | $18.00 | $0.06 – $0.07 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $186.40 | $233.00 | $2.04 – $3.53 | 6 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $47.80 | $59.75 | $9.60 – $9.60 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $16.80 | $21.00 | $2.53 – $2.79 | 5 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $4,377.00 | $7,295.00 | $181.22 – $199.34 | 6 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $337.80 | $563.00 | $49.95 – $54.95 | 5 |
| Baclofen eval charges CPT 97750 | $157.60 | $217.00 | $18.43 – $57.96 | 8 |
| Bacterial meningitis antigen CPT 86403 | $121.60 | $168.00 | $11.40 – $24.00 | 8 |
| Bacterial vaginosis pcr CPT 87801 | $406.40 | $560.00 | $38.80 – $69.38 | 8 |
| #bac vag cand-c. albicans naa CPT 87481 | $220.80 | $305.00 | $34.68 – $67.78 | 8 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $27.40 | $37.00 | $3.97 – $15.47 | 2 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $157.60 | $217.00 | $18.43 – $35.62 | 8 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $1,338.40 | $1,845.00 | $49.92 – $320.16 | 8 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $783.20 | $1,079.00 | $28.80 – $235.77 | 8 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $862.40 | $1,189.00 | $28.80 – $161.24 | 8 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $4.80 | $6.00 | $6.37 – $12.04 | 2 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | $10.00 | $14.00 | $8.97 – $17.00 | 2 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $5,744.80 | $7,917.00 | $179.30 – $957.44 | 8 |
| Bartonella dna pcr-sendout CPT 87471 | $812.00 | $1,119.00 | $34.68 – $67.78 | 8 |
| Bausch health Ultrasound surg HCPCS V2788 | $800.00 | $1,000.00 | $179.10 – $895.50 | 13 |
| B cells total count CPT 86355 | $136.00 | $188.00 | $37.28 – $71.85 | 8 |
| Bebtelovimab injection HCPCS M0222 | $1,360.00 | $1,785.00 | $308.44 – $477.86 | 8 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,381.80 | $7,303.00 | $3.89 – $4.28 | 6 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $7,881.60 | $13,136.00 | $56.07 – $61.67 | 6 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $114.00 | $190.00 | $13.49 – $14.84 | 6 |
| Benign lesion paring 2-4 CPT 11056 | $40.20 | $67.00 | $32.65 – $993.28 | 8 |
| Benign lesion paring 4+ CPT 11057 | $52.80 | $88.00 | $42.83 – $993.28 | 8 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $277.80 | $463.00 | $15.32 – $16.86 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $74.60 | $103.00 | $25.16 – $47.94 | 8 |
| Beta-2 microglobulin CPT 82232 | $324.80 | $438.00 | $15.99 – $32.38 | 8 |
| Beta-amyloid 1-40 CPT 82233 | $1,404.00 | $2,340.00 | $421.20 – $2,106.00 | 12 |
| Beta-amyloid 1-42 CPT 82234 | $1,404.00 | $2,340.00 | $421.20 – $2,106.00 | 12 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $287.40 | $479.00 | $6.96 – $7.65 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $14,404.80 | $24,008.00 | $73.20 – $80.52 | 6 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $6,055.20 | $10,092.00 | $27.86 – $30.65 | 5 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $4,291.20 | $5,914.00 | $38.50 – $993.28 | 8 |
| Bilateral n block inj occipital 64405 CPT 64405 | $687.20 | $947.00 | $38.50 – $993.28 | 8 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $998.40 | $1,376.00 | $14.30 – $993.28 | 8 |
| Bilirubin direct CPT 82248 | $100.00 | $138.00 | $4.96 – $11.81 | 8 |
| Bilirubin total CPT 82247 | $161.60 | $202.00 | $4.96 – $11.81 | 8 |
| Biopsy abdominal mass CPT 49180 | $1,352.80 | $1,865.00 | $89.07 – $993.28 | 8 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,352.80 | $1,865.00 | $69.30 – $993.28 | 8 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $7,461.60 | $10,283.00 | $72.73 – $997.12 | 8 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,164.80 | $3,956.00 | $69.65 – $993.28 | 8 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $378.95 – $1,471.64 | 8 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,352.80 | $1,865.00 | $62.03 – $993.28 | 8 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.